LOW PURINE DIET Regular medication indefinitely is an important measure in the prevention of further attacks of gout and hyperuricaemia and in the prevention of complications. Dietary measures include the following:
1. Eat as much as you can Milk, egg, most vegetables, most fruits, bread, butter or margarine, cheese, white meat e.g. chicken, fish, pork, etc.
2. Restrict your intake Asparagus, cauliflower, lettuce, mushroom, oat meal, whole wheat, cereal, red meat.
3. Abstain completely (A) All internal organs of animals and birds Liver, kidney, brain, heart, pancreas, sweetbread. (B) Rich Games Venison, gamebird pigeon, black chicken. (C) Meat Extracts Gravies, chicken essence, bakut teh. (D) Certain fish Salmon, Herring, Anchorier, Sardines, Cockles, Fish Roe. (E) Certain vegetables Spinach, Rhubarb, Peas, Beans, Peanuts, Carrot. (F) Products of Beans Beancurd, Soya bean drink, Bean Sprout, Bean Cake, Moon Cake. (G) Certain fruits Stawberries, Strawberry jam, Durian, Tomato, Tomato Sauce. (H) Certain Alcohol Beer, Champagne, Brandy, Whisky, Port & Sweet Wine. Note: Maintain a normal diet. Overweight makes the condition more difficult to control. However, weight reduction must be gentle or else an acute attack may be induced. • Drink plenty of fluids (at least 2 litres daily) to help in renal excretion of uric acid. • Avoid feasting and fasting. A periodic check on blood uric acid levels must be made.